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2. Applicant's First & Last Name*
3. Parent/Guardian's First & Last Name
5. Address (Street, City, Zip)*
7. Phone Number*
8. Email
10. Permission to contact*

    1. I agree to have someone contact me

    By submitting this form, you agree to have an FPD representative contact you regarding the Public Safety Cadet Program.

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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

* indicates a required field